Thomas Lamont Ruffin Jr.

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4505 Lakeland CT
Augusta, GA 30906-9215

Phone

(706) 204-9112

NPI assigned

Jan 19, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1043071814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 MAYS QUARTER RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925461",
            "telephone_number": "571-552-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 LAKELAND CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069215",
            "telephone_number": "706-204-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "THOMAS",
        "middle_name": "LAMONT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Bernice Rudduck
• Frederick A Rueggeberg, DDS
• Isabella Ruffa
• Alante Ruffin
• Johnna W Ruffin, P.A.-C
• John G Rumbaugh, M.D.
• Kelli Ann Rummings, DO
• Wayne Anthony Rummings Jr., MD
• Rural Urgent Care LLC
• January Rush, MS, LPC

• Other Technician in Augusta, GA
• Providers in Augusta, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.